Bumps Under the Tongue: Should You Worry? - Internal Medicine

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When it comes to bumps under the tongue, it’s understandable to feel concerned, especially when you notice something unusual in your mouth. The bumps you are describing could be caused by a variety of factors, and while it’s natural to worry about conditions like warts (which you referred to as "菜花" or "cauliflower"), it’s essential to consider other possibilities as well.

Firstly, let’s clarify what bumps under the tongue might be. Common causes include:
1. Lingual Papillae: These are small bumps that are normal anatomical features of the tongue. They can sometimes become inflamed or irritated, leading to a condition known as glossitis.

2. Mucocele: This is a cyst that can form when a salivary gland becomes blocked or damaged. Mucoceles are usually painless and can appear as soft, fluid-filled bumps.

3. Fordyce Spots: These are small, painless, pale bumps that are actually sebaceous glands without hair follicles. They are completely normal and harmless.

4. Canker Sores: These are small, painful ulcers that can appear on the tongue or the inside of the mouth. They are not contagious and usually heal on their own.

5. Oral Warts: These are caused by the human papillomavirus (HPV) and can appear as small, fleshy bumps. While they can resemble cauliflower, they are typically painless and may require treatment if they persist.

6. Other Conditions: Conditions such as oral thrush (a fungal infection), allergic reactions, or even more serious issues like oral cancer can also present as bumps or lesions in the mouth.

Given the variety of potential causes, it’s crucial not to jump to conclusions. If the bumps are new, changing, painful, or accompanied by other symptoms such as swelling, difficulty swallowing, or persistent sores, it’s advisable to seek a professional evaluation. A healthcare provider, such as a dentist or an oral surgeon, can perform a thorough examination and may recommend further tests if necessary.

In terms of your specific concern about whether these bumps could be warts, it’s important to note that while HPV can cause warts in the oral cavity, they are not the only explanation for bumps under the tongue. The appearance, texture, and associated symptoms of the bumps will help guide a healthcare professional in making an accurate diagnosis.

If you are feeling anxious about this, it’s perfectly reasonable to seek reassurance from a medical professional. They can provide you with the necessary information and peace of mind. Remember, early detection and treatment of any oral health issue are key to effective management.

In summary, while bumps under the tongue can be concerning, they are often benign and can result from various causes. It’s best to consult with a healthcare provider for an accurate diagnosis and appropriate management. If you have any further questions or concerns, don’t hesitate to reach out to a medical professional. Your health and peace of mind are important!